Deck 11: Fluids and Irrigation Solutions

Question 1

The electrolyte that controls the distribution of water in the body and maintains fluid and electrolyte balance is

A)sodium.
B)potassium.
C)magnesium.
D)calcium.

Answer 1

sodium.

Question 2

If a surgical patient has liver disease,which IV fluid should not be given?

A)Sodium chloride
B)Normosol-R
C)Lactated Ringer
D)Isolyte-E

Answer 2

Lactated Ringer

Question 3

The irrigation solution that is conductive and is used with caution in the presence of the ESU is which one of the following?

A)Sterile water
B)Physiosol
C)Sobrital
D)Saline

Answer 3

Saline

Question 4

Proteins responsible for transporting oxygen to cells are which one of the following?

A)Leukocytes
B)Platelets
C)Antigens
D)Hemoglobin

Question 5

Major electrolytes found in body fluids are sodium,chloride,calcium,and

A)glucose.
B)potassium.
C)creatinine.
D)urea.

Question 6

Which of the following is an electrolyte present in normal body fluid?

A)Urea
B)Magnesium
C)Creatinine
D)Glucose

Question 7

Which IV solution increases insulin requirements for the patient with diabetes?

A)Sterile water
B)Dextrose
C)Normal saline
D)Ionosol B

Question 8

Which of the following is not a reason that IV fluids may be ordered?

A)Maintain acid-base balance
B)Replacement of lost fluids
C)Maintain fluid and electrolyte balance
D)To administer IV medications

Question 9

Most transfusions involve packed red blood cells (RBCs)given with

A)volume expander.
B)dextrose solution.
C)plasma.
D)normal saline.

Question 10

Another name for Hartmann solution is

A)physiologic saline.
B)dextrose in water.
C)lactated Ringer solution.
D)isolyte E.

Question 11

What blood product is given when clotting factors are required?

A)Whole blood
B)Packed cells
C)Plasma
D)Erythrocytes

Question 12

The intravenous (IV)solution used during blood transfusion is

A)water.
B)lactated Ringer solution.
C)normal saline.
D)plasmaLyte.

Question 13

Another name for donor blood is which one of the following?

A)Homologous
B)Autologous
C)Autotransfusion
D)Synthetic

Question 14

Which common IV fluid is used in the presence of hypovolemia?

A)Sodium chloride
B)Dextrose in saline
C)Dextrose in water
D)Lactated ringer

Question 15

Testing the temperature of irrigation solution is important,because if too hot,it can

A)disrupt the electrosurgical unit (ESU).
B)fog the endoscopes.
C)cause tissue damage.
D)rust instrumentation.

Question 16

The volume of erythrocytes in a given volume of blood is called which one of the following?

A)Hemoglobin
B)Hematocrit
C)Plasma
D)White blood cell count

Question 17

Which form of potassium is not preferable for the patient undergoing surgery?

A)Liquid
B)Oral
C)Capsule
D)IV

Question 18

Food and fluid restrictions preoperatively can result in the surgical patient needing

A)food.
B)IV fluids.
C)blood replacement.
D)oral medications.

Question 19

One of the most common IV solutions used in the surgical setting is which one of the following?

A)Sterile water
B)0.9% sodium chloride
C)Dextrose
D)Dextran

Question 20

Dextran is an example of a

A)blood substitute.
B)volume expander.
C)cryoprecipitate.
D)plasma protein.

Question 21

List four purposes for surgical irrigation.

Question 22

Which of the following is a low hemoglobin level for an adult female?

A)10 g/100 mL of blood
B)13 g/100 mL of blood
C)14 g/100 mL of blood
D)18 g/100 mL of blood

Question 23

The process of collecting,processing,and reinfusing the patient's own blood is called ____________.

Question 24

The four major blood types are _________.

Question 25

A surgical patient with blood type AB has a blood type that contains

A)both A and B antigens.
B)contains no antigens.
C)contains O antigens.
D)contains only A antigens.

Question 26

Why is the secondary tubing hung higher than the primary tubing when establishing an IV on a surgical patient?

A)Because it is placed in an electronic infusion pump system
B)Because the secondary medication should infuse first
C)So that the medication can drip into the vein
D)So that the medication can move slower than the rest

Question 27

A component of blood that is used when several units of blood have been used and should be thawed in water prior to use is called

A)platelets.
B)packed red cells.
C)cryoprecipitate.
D)plasma.

Question 28

An example of a blood alternative is ____________.

Question 29

An example of a solution used in hysteroscopy is _________.